Individual provider · Type 1 NPI

Jeremiah Charles Tracy

Otolaryngology Physician · Worcester, MA

NPI number 1215166889 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Fax (508) 856-6703

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X257266 (MA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1215166889

Jeremiah Charles Tracy's National Provider Identifier is 1215166889, issued on Jul 4, 2009. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Worcester, MA. The record was last updated on Nov 4, 2016.